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#2362 of 11K

A5056

Ostomy skin barrier, without flange, each

Ostomy skin barrier, without flange, each is the #2,362 most-billed Medicaid procedure code, with $6.4M in payments across 99K claims from 2018–2024. The national median cost per claim is $54.88.

Total Paid

$6.4M

0.00% of all spending

Total Claims

99K

Providers

60

Avg Cost/Claim

$64

National Cost Distribution

How much do providers bill per claim for A5056? Based on 60 providers billing this code nationally.

Median

$54.88

Average

$61.04

Std Dev

$36.40

Max

$191.67

Percentile Distribution (Cost per Claim)

p10
$26.05
p25
$41.83
Median
$54.88
p75
$70.35
p90
$93.61
p95
$134.70
p99
$181.07

50% of providers bill between $41.83 and $70.35 per claim for this code.

90% bill between $26.05 and $93.61.

Top 1% bill above $181.07.

About This Procedure

HCPCS code A5056 (Ostomy skin barrier, without flange, each) was billed by 60 providers across 99K claims, totaling $6.4M in Medicaid payments from 2018–2024. This code was used for 85K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$54.88

Providers Billing

60

National Spending

$6.4M

Avg/Median Ratio

1.11×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A5056

#ProviderTotal Paid
1Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$1.1M
2Shield California Health Care Center Inc

Valencia, CA · Durable Medical Equipment & Medical Supplies

$842K
3Byram Healthcare Centers, Inc.

Torrance, CA · Durable Medical Equipment & Medical Supplies

$655K
4H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$382K
5Byram Healthcare Centers, Inc.

Downers Grove, IL · Durable Medical Equipment & Medical Supplies

$298K
6180 Medical Inc

Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment

$243K
71992891238$233K
8Byram Healthcare Centers, Inc.

Portland, OR · Durable Medical Equipment & Medical Supplies

$222K
91609024397$181K
10Continuum, Llc

Philadelphia, PA · Durable Medical Equipment & Medical Supplies

$168K
111710932173$166K
12Home Care Delivered, Inc.

Richmond, VA · Durable Medical Equipment & Medical Supplies

$150K
131881698439$140K
141346295953$122K
151922006741$121K
161427139641$110K
171124132154$104K
181649244138$101K
191962440891$98K
20Medline Industries, Lp

Grayslake, IL · Durable Medical Equipment & Medical Supplies

$96K

Showing top 20 of 60 providers billing this code